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Vermont rates for HCPCS 80158

Drug Assay Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $31.50 / $31.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.97 / $166.31 / $321.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $154.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $20.65 / $28.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $154.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $20.65 / $28.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $15.14 / $48.92